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Text File  |  1993-10-11  |  1.6 KB  |  54 lines
  1.  
  2.                          LegRoom(tm)
  3.  
  4.        Copyright (c) 1992-93  Phil Grenetz  All Rights Reserved
  5.                 Published by Ivden Technologies, Inc.
  6.  
  7.                   LegRoom(tm) Registration Form
  8.                   -----------------------------
  9.  
  10.      Qty    Description                       Price      Total
  11.      ---    -----------                       -----      -----
  12.  
  13.      _____  LegRoom(tm) Personal on 3.5"      $35.00     _____
  14.      
  15.      _____  LegRoom(tm) Personal on 5.25"     $35.00     _____
  16.  
  17.      _____  LegRoom(tm) LAN .... on 3.5"      $99        _____
  18.  
  19.      _____  LegRoom(tm) LAN .... on 5.25"     $99        _____
  20.  
  21.                                          Sub-Total:   ________
  22.  
  23.              Pennsylvania Residents add sales tax:    ________
  24.  
  25.     Shipping/Handling per copy:
  26.      ($4 UPS Ground, $8 UPS Second Day, $15 FedEx)    ________
  27.  
  28.                                           Total:     _________
  29.  
  30. Terms:
  31.   * Check or Money Order drawn on a U.S.A. bank in U.S. funds.
  32.   * Includes a free upgrade to the next version of the software,
  33.     when available.
  34.  
  35.      Ship to:                             
  36.      Name: ______________________________ 
  37.  
  38.      Company: ___________________________ 
  39.  
  40.      Address: ___________________________ 
  41.  
  42.      City: ______________________________ 
  43.  
  44.      State: __________   Zip: ___________
  45.  
  46.      Phone: (______) ____________________
  47.  
  48.      Fax:   (______) ____________________
  49.  
  50.  
  51.      Ivden Technologies, Inc.        (215) 328-1145 (voice / FAX)
  52.      87 Arbor Road                   (610) 328-1145 (after 1/1/94)
  53.      Churchville, PA 18966-1007      CompuServe ID: 71221,3602
  54.